Individual
MS. HOLLY LYNN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5944 CARROLL RD, COEBURN, VA 24230-5230
(951) 966-4685
Mailing address
5944 CARROLL RD, COEBURN, VA 24230-5230
(951) 966-4685
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-351193
VA
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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